| NPI | 1629637640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ANNE HOLTKAMP President 714-914-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |